PEDIATRICS Vol. 81 No. 3 March 1988, pp. 404-411
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Verloove-Vanhorick, S. P.
Right arrow Articles by Ruys, J. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Verloove-Vanhorick, S. P.
Right arrow Articles by Ruys, J. H.

Mortality in Very Preterm and Very Low Birth Weight Infants According to Place of Birth and Level of Care: Results of a National Collaborative Survey of Preterm and Very Low Birth Weight Infants in the Netherlands

S. Pauline Verloove-Vanhorick MD, PhD1, Robert A. Verwey MD, PhD1, Marij C. A. Ebeling MD1, Ronald Brand PhD1, and Jan H. Ruys MD, PhD1

1 From the Departments of Pediatrics, Obstetrics, and Statistics, University Hospital, Leiden, the Netherlands

As part of a collaborative project in the Netherlands in 1983, for which data were collected on 1,338 newborn infants (<32 weeks' gestation and/or <1,500 g birth weight), all infants were assigned to one of three levels of care according to hospital of birth. Considerable centralization was achieved by antenatal and neonatal transport. Although the uncorrected mortality rates were similar, the mortality odds (adjusted for four and 22 potential confounding perinatal factors, respectively) were significantly higher in level 1 and level 2 hospitals compared with level 3 hospitals (tertiary perinatal care centers). By extending the facilities for full perinatal intensive care in level 3 centers and thus providing optimal care for all such infants, the overall mortality rate is expected to decrease further.

Key Words: very low birth weight infant • mortality • hospital care level • neonatal intensive care unit

Submitted on January 22, 1987
Accepted on June 23, 1987




This article has been cited by other articles:


Home page
 NEJMHome page
C. S. Phibbs, L. C. Baker, A. B. Caughey, B. Danielsen, S. K. Schmitt, and R. H. Phibbs
Level and Volume of Neonatal Intensive Care and Mortality in Very-Low-Birth-Weight Infants
N. Engl. J. Med., May 24, 2007; 356(21): 2165 - 2175.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
R. Vieux, J. Fresson, J.-M. Hascoet, B. Blondel, P. Truffert, J.-C. Roze, J. Matis, G. Thiriez, C. Arnaud, L. Marpeau, et al.
Improving Perinatal Regionalization by Predicting Neonatal Intensive Care Requirements of Preterm Infants: An EPIPAGE-Based Cohort Study
Pediatrics, July 1, 2006; 118(1): 84 - 90.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
G. M. S. J. Stoelhorst, M. Rijken, S. E. Martens, R. Brand, A. L. den Ouden, J.-M. Wit, S. Veen, and on behalf of the Leiden Follow-up Project on Prema
Changes in Neonatology: Comparison of Two Cohorts of Very Preterm Infants (Gestational Age <32 Weeks): The Project on Preterm and Small for Gestational Age Infants 1983 and The Leiden Follow-Up Project on Prematurity 1996-1997
Pediatrics, February 1, 2005; 115(2): 396 - 405.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
S. Johansson, S. M. Montgomery, A. Ekbom, P. O. Olausson, F. Granath, M. Norman, and S. Cnattingius
Preterm Delivery, Level of Care, and Infant Death in Sweden: A Population-Based Study
Pediatrics, May 1, 2004; 113(5): 1230 - 1235.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
J. Cifuentes, J. Bronstein, C. S. Phibbs, R. H. Phibbs, S. K. Schmitt, and W. A. Carlo
Mortality in Low Birth Weight Infants According to Level of Neonatal Care at Hospital of Birth
Pediatrics, May 1, 2002; 109(5): 745 - 751.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child. Fetal Neonatal Ed.Home page
D. Field and E. S Draper
Survival and place of delivery following preterm birth: 1994-96
Arch. Dis. Child. Fetal Neonatal Ed., March 1, 1999; 80(2): 111F - 114.
[Abstract] [Full Text]